Provider Demographics
NPI:1568523397
Name:DUNNING, BRET (DO)
Entity Type:Individual
Prefix:
First Name:BRET
Middle Name:
Last Name:DUNNING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 HILLSIDE CENTER DRIVE
Mailing Address - Street 2:P.O. BOX 1794
Mailing Address - City:PRESTONBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-1794
Mailing Address - Country:US
Mailing Address - Phone:606-263-4913
Mailing Address - Fax:606-263-4915
Practice Address - Street 1:39 HILLSIDE CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:PRESTONBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-1794
Practice Address - Country:US
Practice Address - Phone:606-263-4913
Practice Address - Fax:606-263-4915
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR1269207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine